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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Vane.pdf
February 01, 2005 - Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments
469
Behind the Scenes: Patient Safety in
the Operating Room and Central
Materiel Service During Deployments
Elizabeth A. P. Vane, Edward Drost, Daryl Elder, Yvonne Heib
Abstract
The United States Army per…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
January 01, 2003 - On-line Patient Safety Climate Survey: Tool Development and Lessons Learned
415
On-line Patient Safety Climate Survey:
Tool Development and Lessons Learned
Lynne M. Connelly, Judy L. Powers
Abstract
Objective: A key tenet of patient safety programs is the elimination of the
“culture of blame.” The On-line P…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/conclusions.html
July 01, 2021 - 7. Conclusions and Recommendations
Health Services and Primary Care Research Study: Comprehensive Report
Since its emergence as an independent field of study in the 1960s, HSR has helped establish an evidence base to support decisionmaking and improvements in the quality, safety, effectiveness, and efficiency…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-5.html
June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science
References
Previous Page
Table of Contents
Operational Measurement of Diagnostic Safety: State of the Science
Introduction
Special Considerations for Measurement of Diagnostic Safety
Getting Ready for Measurement: Overcoming …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/030-hand-hygiene-webinar-slides-notes.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Hand Hygiene Promotion
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Hand Hygiene Promotion
SAY:
Welcome to this presentation about hand hygiene promotion and how it impacts MRSA prevention.
This presentation will provide information about hand hygiene indi…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/022-optimizing-evc-webinar-notes_revised.docx
October 01, 2024 - Optimizing Environmental Cleaning
AHRQ Safety Program for MRSA Prevention
Optimizing Environmental Cleaning
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Optimizing Environmental Cleaning
SAY:
Welcome to this presentation on optimizing environmental cleaning and incorporating effective environme…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/fac-notes.html
October 01, 2020 - Sustainability Module: Facilitator Notes
Slide 1: Sustainability Module
Say:
This module on Sustainability helps an organization maintain and sustain a process that has worked well at a unit level. This module is meant to augment the existing Spread module of the CUSP Toolkit while offering organization…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-facnotes.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Sustainability Module
Facilitator Notes
SAY:
This module on Sustainability helps an organization maintain and sustain a process that has worked well at a unit level. This module is meant to au…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_6.pdf
October 01, 2016 - New Models of Primary Care Workforce - Case Example #6: Henry Ford Health System
New Models of Primary Care
Workforce and Financing
Case
Example Henry Ford Health System6
New Models of Primary Care Workforce
and Financing
Case Example #6: Henry Ford Health System
Prepared for:…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/fillmore.pdf
August 01, 2014 - c
Case Studies
of EXEMPLARY PRIMARY CARE
PRACTICE FACILITATION
TRAINING PROGRAMS
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
The PCM Portfolio graphic element is intended to be closely aligned with AHRQ's overall brand,…
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-6.html
July 01, 2019 - Case Example #6: Henry Ford Health System
This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD…
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www.ahrq.gov/sites/default/files/2024-01/taekman-report.pdf
January 01, 2024 - Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training
Virtual Healthcare Environments Versus Traditional Interactive Team
Training
Principal Investigator: Jeffrey M. Taekman, MD
Investigative Team: Noa Segall, PhD
David Turner, MD
Gene Hobbs, CHT
Cheryl Jacobs
Barb…
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www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
January 01, 2024 - Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety
Final Progress Report
Title: Effects of Extended Work Hours on ICU Patient Safety
Principal Investigator: Charles A. Czeisler, Ph.D., M.D.
Organization: Brigham and Women's Hospital
Co-Investigators: Christopher P. Landrigan, M.D., M.P.H.…
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www.ahrq.gov/sites/default/files/2024-01/greenwald-report.pdf
January 01, 2024 - Final Progress Report: Medication Reconciliation: A Team Approach
AHRQ Small Conference Grant Final Report
Title of Project: Medication Reconciliation: A Team Appr oach
Principal Investigator: Jeffrey L . Greenwald, MD, FHM
Team Members: Jeffrey L. Greenwald, MD, FHM (SHM), PI and Conference Chair; …
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www.ahrq.gov/sites/default/files/2024-03/small-report.pdf
January 01, 2024 - Final Progress report: Creating High Reliability Organizations
Creating High Reliability Organizations
Principal Investigator:
Stephen D. Small, MD
Key Team Members:
Kay Metis, MS, MA
Bobbie J. Sweitzer, MD
Paul Barach, MD (2001-2002)
Additional funded collaborators:
Julie Mohr, PhD
David Meltzer, MD, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
December 01, 2017 - Facilitator Guide: Optimize Your Briefings and Debriefings
Optimize Briefings and Debriefings – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Optimize Briefings and Debriefings
SAY:
This module is the first of two parts discussing briefings and debriefings. Teamwork and culture improvement …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
December 01, 2017 - PowerPoint Presentation: Learn From Defects for Sustainability
Sustainability: Learning From Defects
AHRQ Safety Program for Surgery
Sustainability
AHRQ Pub. No. 16(18)-0004-15-EF
December 2017
AHRQ Safety Program for Surgery – Sustainability
SAY:
This module will review some concepts from Learning From Defects Th…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
January 01, 2003 - An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors
39
An Analysis of Nurses’ Cognitive Work:
A New Perspective for Understanding
Medical Errors
Patricia Potter, Laurie Wolf, Stuart Boxerman, Deborah Grayson,
Jennifer Sledge, Clay Dunagan, Bradley Evanoff
Abstract
He…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Linzer.pdf
January 01, 2002 - Organizational Climate, Stress, and Error in Primary Care: The MEMO Study
65
Organizational Climate, Stress, and Error
in Primary Care: The MEMO Study*
Mark Linzer, Linda Baier Manwell, Marlon Mundt, Eric Williams,
Ann Maguire, Julia McMurray, Mary Beth Plane*
Abstract
Background: The impact of organizatio…
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
January 01, 2021 - Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report
Potentially Preventable Readmissions:
Conceptual Framework To Rethink
the Role of Primary Care
Final Report
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Potentially Preventable Readmissions:
Conceptual Framewo…